<div class="form-group">
	<label class="col-xs-12 col-sm-3 col-md-2 left-label" ng-click="pagedata.edit(seh,'title','表单名称')">{{seh.title}}</label>
	<div class="col-xs-12 col-sm-8 col-lg-9">
		<div class="row row-fix tpl-district-container">
			<div class="col-xs-12 col-sm-4 col-md-4 col-lg-4">
				<select class="form-control tpl-province">
				<option value="" selected="selected">请选择省份</option>
				</select>
			</div>
			<div class="col-xs-12 col-sm-4 col-md-4 col-lg-4">
				<select class="form-control tpl-city">
				<option value="" selected="selected">请选择城市</option>
				</select>
			</div>
			<div class="col-xs-12 col-sm-4 col-md-4 col-lg-4">
				<select class="form-control tpl-district">
				<option value="" selected="selected">请选择区县</option>
				</select>
			</div>
		</div>
		<div class="help-block" ng-click="pagedata.edit(seh,'help','表单提示信息')">{{seh.help}}</div>
	</div>
</div>